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वमने तु विरेकः स्याद्विरेके वमनं पुनः | परिषेकावगाहाद्यैः सुशीतैः स्तम्भयेच्च तत्||४७||

If ati-yoga happens like this during attempting vamana, the residual doshas are eliminated by initiating a virechana and vice-versa. The following remedies need to be instituted fast for stambhana (To check the supra-optimal purificatory effect of therapy).

english translation

vamane tu virekaH syAdvireke vamanaM punaH | pariSekAvagAhAdyaiH suzItaiH stambhayecca tat||47||

hk transliteration by Sanscript